Trystan Robert Queen, CMS | |
1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 | |
(740) 634-3094 | |
Not Available |
Full Name | Trystan Robert Queen |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1071 Tong Hollow Rd, Bainbridge, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639665656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Trystan Robert Queen, CMS 178 Mill Run Rd Lot 107, Waverly, OH 45690-8809 Ph: (740) 825-2764 | Trystan Robert Queen, CMS 1071 Tong Hollow Rd, Bainbridge, OH 45612-1500 Ph: (740) 634-3094 |
Megan M Whitis, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1071 Tong Hollow Rd, Bainbridge, OH 45612 Phone: 740-634-3094 | |
Stephanie Lynn Canterbury, CADC Counselor Medicare: Medicare Enrolled Practice Location: 1071 Tong Hollow Rd, Bainbridge, OH 45612 Phone: 740-634-3094 | |
Navin Hardeo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1071 Tong Hollow Rd, Bainbridge, OH 45612 Phone: 740-634-3094 | |
Kristen Elizabeth Ayers, Counselor Medicare: Medicare Enrolled Practice Location: 4413 Greenbriar Rd, Bainbridge, OH 45612 Phone: 614-582-6060 | |
William C Bryant, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1071 Tong Hollow Rd, Bainbridge, OH 45612 Phone: 740-634-3094 | |
Elizabeth Grace Skeans, ADDICTION COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1071 Tong Hollow Rd, Bainbridge, OH 45612 Phone: 740-313-0569 | |
Tara Campbell, LPC, LCDCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1071 Tong Hollow Rd, Bainbridge, OH 45612 Phone: 740-634-3094 |